Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.93 / $422.04 / $707.45	Professional		$250.93	$422.04	$707.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,006.37 / $1,006.37 / $1,009.20	Facility		$1,006.37	$1,006.37	$1,009.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.20 / $467.39 / $717.93	Professional		$322.20	$467.39	$717.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $268.63 / $553.54 / $884.01	Facility		$268.63	$553.54	$884.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $442.99 / $655.94 / $795.08	Professional		$442.99	$655.94	$795.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $567.75 / $641.01	Professional		$32.34	$567.75	$641.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,897.28 / $3,916.24 / $4,869.63	Facility		$2,897.28	$3,916.24	$4,869.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $464.55 / $634.79 / $839.12	Professional		$464.55	$634.79	$839.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $5,550.00 / $12,233.00	Facility		$1,350.00	$5,550.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.36 / $614.12 / $901.35	Professional		$432.36	$614.12	$901.35